Milagros "Milly" Garcia


Milagros “Milly” Garcia is currently a consultant HCPCS Consulting. She has a total of 24 years working in the health industry including insurance biller at the Sports and Rehabilitation Department at Baptist Hospital, Policy Manager in an international private medical insurance and an Ancillary Specialist in a major HMO/PPO insurance company working side by side with the medical director to approve and authorize rehabilitation therapy, DME and Orthotics and Prosthetics.


 

The last 18 years have been dedicated to working specifically in the Home Health industry. Milly has held positions from Intake all the way through Administrator and has also worked as a consultant helping start-up companies and continuing to assist with their operations and compliance.

Ms Garcia was part of one of the first 5 Home Care Agencies that participated in the OBQI (Outcome Based Quality Improvement) before its official inception in Florida. As a student nurse, she learned how to properly assess a patient and complete an OASIS to show patient acuity from the start of care to discharge. As a result of countless in-services and classes on outcome based quality improvements, OASIS accuracy, quality assurance and ICD-9 coding, the organization was recognized by Home Care Elite Magazine’s top 200 home care agencies in the U.S in 2004.

Due to her prior experience and having worked most of the positions in home care agencies, she has a unique insight with best practices, the responsibility of each role to assure quality results and compliance. Her forte is reviewing and teaching best practices, implementing process improvement as well as providing support to the educational needs of the clinicians in achieving comprehension and accuracy with OASIS data collection and compliance with the end goal to provide quality care and attain winning outcomes and proper reimbursements using guidelines established by CMS.

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